Unit 9:NSG 3100 Unit 9: Questions & Answers/Latest Updated A+ Guide Solution

What is included in a nutritional assessment? a. Includes an evaluation of weight and recent changes in weight, BMI, diet history, and pertinent laboratory findings (including serum albumin, serum prealbumin, nitrogen balance, and other measures) b. Anthropometric Measurements, i. Triceps skinfold, mid arm circumference, mid arm muscle area c. Biochemical Data i. Serum proteins (Albumin), urinary test, total lymphocyte count d. Clinical Data i. Skin, hair, nails, mucosa, Elimination pattern e. Dietary Data i. 24 hr food recall, food frequency record, food diary and diet history 2. Know different disciplines involved in collaborative efforts for patients with nutritional problems. a. A registered dietitian is helpful in providing nutritional education and services that may address the psychosocial and economic factors that affect patient care. b. Case managers are responsible for coordinating timely, cost- effective inpatient and outpatient services (such as provision of durable medical equipment, infusion therapy, and transportation for patients), and follow- up after discharge to promote quality care. c. Collaboration with a speech therapist is needed for patients who have impaired swallowing and/or require restorative therapy. d. Collaboration with a board- certified psychologist may be necessary if psychological factors might have an impact on the patient’s recovery. e. Nurse Care Manager coordinates services, equipment, and follow up after discharge f. Assistance with feeding can be delegated to UAP. 3. Understand dysphagia, signs and symptoms, and how you would treat it (diet, special precautions for feeding, etc). a. Difficulty in swallowing b. S/S: Coughing during/after swallowing, choking on food/drink, throat clearing, coughing or vomiting food, weak/soft voice, aspirating, excessive drooling/saliva/chewing, difficulty chewing, trouble moving food back to mouth,